S. (5c

S SIMON FRASER UNIVERSITY

MEMORANDUM

To: Senate From: Senate Committee on Undergraduate Studies

Subject: Gerontology Program - Date: October 15, 1986 New Course Proposals

Action undertaken by the Senate Committee on Undergraduate Studiesat its - - - - meetirig of September 3T9 gives rise to the fo11ong motion:

MOTION:

That Senate approve and recommend approval to the Board of Governors, as set forth in S.86- , the proposed

O New courses GERO 402-3 Drug Issues in Gerontology GERO 403-3 Counselling with Older Adults"

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SiMON FRASER UNIVERSITY MEMORANDUM SC US

•..........on Heath, Secretary Senate Committee on Undergraduate Studies

Subject.. ..... C Proposals

From ......

c. .. tsCurriculum Committee

Date.....July 18, 1986

The Faculty of Arts Curriculum Committee, at its meeting of July 17, 1986, approved the following coursesfor permanent inclusion in the calendar:

GERO 402-3 DRUG ISSUES IN GERONTOLOGY GERO 402-3 COUNSELLING WITH OLDER ADULTS

Would you please place these items on the agenda of the next meeting of the

- - ---Senate Committee on Undergraduate - --- - -

2& t ,vC4 Sheila Roberts

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SR/sjc end.

cc: E. Gee

I'GJf

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New Course Proposal GERO 14023

Revised 7 Oct/86

GERO 14023: Drug Issues in Gerontology

Calendar Description

An overview of issues relating to drugs and the elderly. Topics will include: An introduction to pharmacological issues as they apply to older people; Uses and abuses of commonly prescribed and non-prescribed medication; Medication reviews; Government subsidy programs. This course is designed for those who work or plan to work with elderly persons.

Prerequisites: GERO 300

Rationale

1. The issue of drug use is central within Gerontology. This course is designed to provide students with the background information that will help them deal with this major social issue.

2 Most credible Gerontology programs offer at least one course dealing with drugs and the elderly, given the importance of the issue.

3. The DGT Program was given $20,000 by Squibb Canada (Ltd.) Pharmaceuticals to mount this course. Although this money will eventually run out, we are confident that we will be able to raise money in the future for the continuation of the course.

LI. This course was offered in the 85-3 semester, under a Special Topics rubric, and was taut by a pharmacist well qualified in geriatric pharmacology. This individual, Lynn Trottier, is the Extended Care Unit Pharmacy Supervisor and Clinical Pharmacy S pecialist--Geriatrics, at the U.B.C. Health Sciences Centre and is also an Associate Professor (part-time) in the Clinical Division, Faculty of Pharmaceutical Sciences, U.B.C. The course was well enrolled, and we have received positive feedback from the students who took it. This pharmacist is preparing to teach the course again. In the event she is not available in the future, there are several pharmacists with similar credentials and expertise in geriatrics who have indicated their willingness to teach this course.

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SENATE COMMITTEE ON UNDERGRADUATE STUDIES

NEW COURSE PROPOSAL FORM

0. , Calendar Information

Department GERONTOLOGY

Abbreviation Code: GERO

Course Number: 402 Credit Hours: 3 Vector: 2-1-0

Title of Course: Drug Issues in Gerontology

Calendar Description of Course: An overview of issues relating to drugs and the elderly. Topics will include: An introduction to pharmacological issues as they apply to older people; Uses and abuses of commonly prescribed and non-prescribed medication; Medication reviews; Government subsidy programs. This course is desied for those who work or plan to work with elderly persons. Nature of Course Lecture and Seminar Prerequisites (or special instructions): GERO 300

What course (courses), if any, is being - dropped- from the -calendar- if- this -course- is - --------provid: None.

2. Scheduling

How frequently will the course be offered? Once a year

Semester in which the course will first be offered? 87-3 Which of your present faculty would be available to make the proposed offering possible? Sessionals (pharmacists) will teach this course.

Objectives of the Course -

To familiarize students who work, or plan to work, with elderly persons, with medical, psychological, social and service delivery aspects of drug use amongst the elderly.

4. Budgetary and Space Requirements (for information only)

What additional resources will be required in the following areas:

Faculty

Staff None. Library

Audio Visual

Space

Equipment

5. Approval -

Date:

epá'rtment Chairman Dean - Chairman, SCUS

OCUS 73-34b:- (When completing this form, for instructions see Memorandum SCUS 73-34a. Attach course outline).

Arts 78-3

SIMDN FRASER UNIVERSITY

GERO 14023 Drug Issues in Gerontology

Course Description

An overview of issues relating to drugs and the elderly for Gerontology students without degrees in medicine or pharmacy. The course will include: discussion of general principles of pharmacology and how these principles relate to aging; use and abuse of commonly prescribed and self-medicated drugs including a brief discussion of the diseases or disorders for which the drugs are used; desirable and undesirable effects of these drugs; drug holidays; medication reviews; compliance; abuse of "social" drugs; seniors' drug education programs; B.C. Pharmacare Program; and resources available for referrals.

Reading Materials

Required reading materials (reprints) will be available on reserve. A textbook is not required.

Course Requirements

Each student will be required to select and present an article to the class during the term as well as complete two examinations.

Distribution of Marks

Your final grade in the course will be a composite of the following:

Mark Value

Article Presentation 30 Mid-term Examination 70 Final Examination 100

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2 =100% TOTAL 200 -

Course Outline

I. Introduction

II. Pharmacological Issues

1. Pharmacokinetics (Drug Disposition) - Absorption - Distribution - Metabolism - Excretion - Time course of drug effect

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GERO L102_3: Drug Issues in Gerontology p. 2

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2. Phannacodynarnics (Drug Response) - Mechanisms of drug action - Relationship between drug dose and response

3. Effects 'of aging on phannacokinetics and phannacodynamics.

III. Use and Abuse of Medications

1. Commonly used medications including:

Brief description of disease or disorder for which the medication is used - Cardiovascular Diseases (eg. Congestive Heart Failure,

Angina, Hypertension) - . ------ - - -- - - - - - -

Respiratory DiSeaés (eg onic Obstructive Pulmonary Disease)

- Neurological and Psychological Disorders (eg. Parkinson's Disease, Seizure Disorders, Dementia, Anxiety, Insomnia, Depression)

- Gastrointestinal Disorders (eg. Constipation, Ulcers) - Infections (eg. Urinary Tract, Upper Respiratory Tract) - Hematological Diseases (eg. Anemias)

•

- Endocrine Disorders (eg. Diabetes, Hypothyroidism) - Dermatological Disorders - Opthalrnic Disorders (eg. Glaucoma) -Pain

Desirable effects of these ndicatibns

Undesirable effects of these medications

Hints for administration of these ndications

2. Factors increasing risks of undesirable drug effects.

3. Drug Holidays

. Medication Reviews

5. Compliance

6. Drug Abuse - Prescription Medications - "Social" . Drugs (eg. alcohol, nicotine, caffeine, cocaine)

7. Seniors' Drug Education Programs.

IV. B.C. Paniiacare Program

V. Referral Resources - When and to whom?

DRUG ISSUES IN GERONTOLOGY

Reading List (Fall 1985)

1. Lipton, H. L. The Graying of America: IrnplicaUoris for he Pharmacist. Amer J Hosp c:rjirm .39 :1 3 1 - 1 35 (Jan) 19o2

2. Steinberg, S K. Geriatric: Pharmacy PracUce in Ule Long- Term Care Faciljtv. Il1Host: Pharm : 'a): 14- 1 (Jan-Feb) 1982

3 Mc:Ienney, J . M. et. al. Drug Therapy Asses nent:E; by Pharmacists. Amer J_HospPh;:rm 37:824-828 (u.n) 1980

4. Dan! ortil, D. Drug Use and the Elderly. British Columbia Med J. 24 (12):559-5t50 (Dcc) 1982

5. Mas, X et al. Drug Prescribing and Use Among Elderly People in Spain. aJgInt.ell din Pharm 17:378-382 (May) 1983

6. Lamy, R The Elderly. Drugs, and Cost Control Drugs. lnt.ell Clin Pharm 16:758-782 (Oct.) 1 92

7. Principles of Drug Action and Drug Interactions InPharmacology for N:r;es. 8tfl Ed. Mcsby Co.. St. Louis. I 985

8. Mor1a1an, F. D. Nurse Alert: Prepare for Geriatric Drug Dosages. Profiles -Manrex Pharrna:y Con:3ultants (Jul -Aug) 1 985

9. Ro,.ie, j. W. Health Care of the Elderly. Nc'i, Ene_:Lj 'IN-led 3 12( 1 3) : 827 -835 (Mar 2 0/ 1

10. Mic:haels, . Drug iherapy and the iceriy Fatient. .an Med ssc'c j. 128:142-1447 (jun) 1983

11. Stanaszek, W. F., Baker, D. Drug Monitoring in the Geriatric Patient. ArnerPharrn NS23(7):32-37 (Jul) 1963

12. Ouslander, J . G. Drug Therapy in the Elderly. Ann mt Me 95: 7 11-722 (Dec) 1981

13. Jernigan, 1. A. Update on Drugs and the Elderly. Amer Fam Physician 29(4):238-246 (Apr) 1964

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14. Lamy, P. P. Hazards of Drug Use in the Elderly. Post Grad Med 76(1): 50-61 (Jul) 1984

15. Simenson W. Aspects of Geriatric Therapv-DrucrInteractions. On Cont Practice i0(1):l4-16. 1983

16. Klein, L. E. et al. Aging and Its Relationship to Health Knowielge and Medication Compliance Geronto1ogi :t. 22(4): 384-387. 1 982

17. Gryfe, C. I. Drug Therapy ofthe Aged: The Prol::lerh of Compliance and

WA Rol-9 f Phsiians drYl L131 m ..lsL '__Awr '3r 1tt 1 6 S - 32(4):30 1-307 (Apr) 1984

18. Srnitfl, M. Cl., Sharpe, T. R. A Study of Pharmacists* involvement in Drug Use by the Elderly.ig_Irit.ell Olin Phrm 18:525-529 (Jun) 1964

19. Haynes, R. B. Physician Interventions to Improve Compliance. Geriatric Consultant 20-29 ul-Aug) 1986

20. Chryssidis E. At al. Drug Compliance and the Elderly. Aust J_Hosp Pharm 12(1):1932

I.

Weintraub, M. Intelligent. ioncc'rnp1iance with Special Emphasis on the Elderly. Conternp Pharm Prac 4(1 ):8- 11 (Winter) 196 1

22. Eeber, C. R., Lamy P. P. Elderly: Proceed 1 9, 22 -2 5 (Ma.7

Medication Management. and Education of the ings of Symposium. WashjnQtofl, D.C. 9- 12, 16-1)1978

23. Ascione, F. J ., Shimp, L. A. The Effectiveness of Four Education Strategies in the Elderly. PLIj gIntell Clin Pharm 18:92 6-9.3 1 (Nov) 1984

24. Luridin, D. V. et al Education of Independent. Elderly in the Responsible Use of Prescription Medications. Drug inteil Clin Pharm 14:335-342 (May) 1980

25. Sherman, F. T. Tamper-resistant Packa ging: Is it Elder-r esi:3tant, Too? J Amer Geriatrics c ( 2) -1"6-141 (Feb) 1985

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26. Robbins, L. J ., jahnigen, D. W. Chi1d-reistant. Pacl::ging and the Geriatric Patient. J_Amer Geriatrics Soc ?20"))A50-4 c: 2 (Juri) 1984

27. Martin, D. C.. Mead (. Reducing Medi::ation Errors in a Geriatric Populati on. Amer Geriatrics cc 30(4):258-260 (Apr) 1962

28. Danfortfl, D. A Difficult Pill t SW&l1W. Gerontol Assoc &tiSli Columbia Newsletter 7(3): (Spring) 1964

39 Wells, B. G. et a1. Factors Associated with the Elderly Failing in Inter-mediat.e Care Units. jjrugIntell Clin Pharm 19:142- 145 (Feb) 1965

30. Salzman, C. A Primer on Geriatric Psychopharmacology. Amer J_ Psvc:lflatrv 139(1 ):67774 (jan) 1982

31. Coleman, J. H., Dorevitch, A. P. Rational Use of Psychoactive Drugs in the Geriatric Patient. Dru g Irjtell Cliri Pharm 15:940-944 (Dec) 1981

32. Mcrrant, j. C. A. Use and Abuse of Psychoactive Drugs i:i the E1der17. Can Med Asscc j. 129:245-248 (Aug 1)1983

33. Spiegel, R. Aspects of Sleep, Daytime Vigilance, Mental Performance and Psychot.ropic Drug Treatment in the Elderly. Gerontology 28 (Suppl. 10082, 1982

34. Rosse, R. B. Evaluation and Treatment of Insomnia in the Elderly. Geriatric Consultant 26-28 (Sep-Oct) 1965

35. Feigenbaum, L. Z. Confusional States Mimicking Dementia. Geriatric Consultant 14-18 (May-Jun) 1985

36. Reifler, B. V. Clinical Aspects of Alzheimer's Disease. Mod Med Cant Geriatrics 39(1): 18-20 (Jan) 1964

37. Laurenc, R. Alzheimer's. UBC Chronicle 10-13 (Spring) 1965

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38. Lcder, K. Alzheimer's Research Update. UBC Chronicle 13 (Spring) 1985

39. Chang, P. Depression and the Elderly. Can Pharrn 3, 145-147 (Apr) 1982

40. Bruni. J. Management of Seizures in the Elderly. Can Pharm j 272-275 (Jun) 1985

41. Bartie. W. R. Peptic Ulcer t:'isease in the Elderly. Can Pharm . 284-285 (Jun) 1985

- 42 - Spio,M Caring for the E -i iy C' Ihronic 0 tn tiv- Lung Disease - A Role for Theophyiline. Car! Pharm 3. 261-267 (Jun) 1985

43. Budden, F. Osteoporosis in Geriatrics. Can Pharrn J. 276-278 (IUfl)

44. Peace, D. A. Vitamins and Nutrition. Can Pharm j 279-2 8 (Jim)

. 1985

45. Simon, A. E. Infection in the Older Patient. Can Pharm J . 292-29 (ju:n) 1985

46. Kern I. G. Cancer Chemotherapy in the Elderly. Can Pharrn 3. 2-29C (June) 1985

47. Lamy, P. P. Alcohol Misuse and Abuse Among the Elderly. Prug irt.e11 Clin Pharm 1 &649-651 (Jul-Aug) 1984

43, King, S. Alcoholism in the Elderly. Reflections - Manrex Pharmaceu-tical Consultants 6(11 ):(Jan) 1981

49. Bradford Brown, B. Professionals' Perception of Drug and Alcohol Abuse Among the Elderly. GeIonto1ogjt 22(6):5 19-5 2 5 . 1982

50. Hartford, 3. T., Sainorajski. Alcoholism in the Geriatric Population. Amer Geriatrics 5cc .30(1):18-24 (jar±) 1982

51. Dayley, C. Who Wants to Admit 70-Year-Old Aunt Else is a Regular Tippler? Courier (Jul 15) 1979

New Course Proposal GERO 403-3 Revised 7 October 1986

GERO 403-3: Counselling With Older Adults

Calendar Description:

An examination of the ways of adapting counselling theory and practice to meet the needs of older adults and their families. Emphasis will be placed on counselling techniques and outcomes appropriate to the needs of persons living independently, with their families, or in institutional settings.

Prerequisites: GERO 300 . This course is restricted to students in the Gerontology Diploma Program.

Rationale:

1. This course would be an elective in the DGT that would complement the required GERO tWO (Seminar in Applied Gerontology) in having an applied,

practical focus.

2. This course was offered in the 86-1 semester., under a Special Topics rubric, and was taut by a clinical psychologist with gerontological expertise. The course was well enrolled and was received enthusiastically by the the students. This instructor is willing to teach the course again. In the event she is not available in the future, we have on file applications from several other persons qualified to teach this course.

3. The DGT was given $30,00 0 by the Fred Silber family. Thi ney will

be used to mount this course annually.

SENATE COMMITTEE ON UNDERGRADUATE STUDIES

NEW COURSE PROPOSAL FORM

Calendar Information Department

GERONTOLOGY

Abbreviation Code: GERO Course Number: 1403 Credit Hours: 3 Vector: 2-1-0

Title of Course: Counselling With Older Adults

Calendar Description of Course: An examination of the ways of adapting counselling theory and practice to meet the needs of older adults and their families. Emphasis will be placed on counselling techniques and outcons appropriate to the needs of persons living independently, with their families, or in institutional settings.

Nature of Course Lecture and Seminar

Prerequisites (or special instructions): GERO 300

This course is restricted to students in the Gerontology Diploma Program.

What course (courses), if any, is being dropped from the calendar if this course is approved: None.

2. Scheduling

How frequently will the course be offered? Once a year

Semester in which the course will first be offered? 87-2

Which of your present faculty would be available to make the proposed offering possible? Sessionals will teach this course.

Objectives of the Course

o To familiarize students who work, or plan to work, with elderly persons with counselling theory and techniques to this group of clients.

4. Budgetary and Space Requirements (for information only)

What additional resources will be required in the following areas:

o

Faculty

Staff None. Library

Audio Visual

Space

Equipment

5. Approval

Date: 2cI fe.

Department Chairman Dean Chairman, SCUS

CUS 73-34b:- (When completing this form, for instructions see Memorandum SCUS 73-34a. tach course outline).

Arts 78-3

Counselling with older adults and their families

Elizabeth Bristowe Summer 1987

Course Description:

This course will study ways of adopting Counselling Theory and Practice to meet the needs of older adults and their families, either on a one-to-one basis or in small group settings. The emphasis will be on counselling technique and outcomes appropriate to the changes and needs of both normal aging and the problems inherent in independent, family-supported and institutional living arrangements for the elderly.

Required Readings:

Text: Alpaugh P., Haney M., (1978). Counselling the older Adult, Toronto, Lexington Books.

Sargent, S.S., (1980) Non-Traditional Therapy and Counselling with the Aging, New York, Springer.

Chapters from the text and some additional readings will be assigned by the instructor.

Selected Readings = Listed in the appropriate lecture category marked * and on reserve in the Library.

Course Organization:

One 1k hour lecture and discussion and one 1k hour lecture or seminar IXV material, guest speaker or student presentation per week)

Course Requirements:

1. In class seminQr/presentation/participation. 25% of the final mark.

2. Practicurn/Lab Work: Two taped interviews (to be debriefed to the instructor) and a brief (three to five page) subjective description and criticism of the experience. 30% of the final mark

3. Examination = In the, formally scheduled time. 45% of the final mark.

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BRISTOWE/ P. 2

COURSE SCHEDULE

Week I Introduction - An overview of Gerontology - An introduction to counselling theory and practice:

- Active Listening - Feedback and empathy - Contracting - The personal characteristics of the Counsellor

Required reading: Gotestam K.G. (1980) Behavioral and dynamic psychotherapy with the elderly in J.E. Birren and R.B. Sloane (Ed.) Handbook of mental health and aging Englewood Cliffs, N.J. Prentice Hall. - - - ---

Week U Theories and models of Counselling and Therapy - Systems Theory - The client-centered approach - The problem-management approach AV Presentation: Three approaches to Psychotherapy No. 1: Carl Rogers (40 mins.) Required Reading: Patterson C.H. (1986) Theories of Counselling and Therapy N.Y. Harper and Ron pp. 531 - 545 *

Week UI Theories and models of Counselling and Therapy (cont'd.) - An Eclectic approach - AV Presentation: Three approaches to psychotherapy

No. 3 Arnold Lazarus - Discussion Required Reading: Robertson, D., (1982) Management of the elderly at home: stress and the supporter. Canada's Mental Health Sept. 1982 * Kapust, L.R., (1982) Living with dementia -the ongoing funeral. Social Work in Health Care Vol. 7(4) Summer, * Brody, E., (1985) Parent care as a normative family stress, The gerontologist Vol 25, No. 1, 19 - 29 *

Week IV Who are our clients? - Population aging: The dimensions of the problem - The well elderly - The mentally and physically frail elderly - Women and aging The silence upstairs (NFB. 15 mins.) - The impact on formal and informal caregivers - AV presentation Discussion

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• BRISTOWE/ P. 3

Week V Who are our clients? (cont'd.)

V. - The mentally impaired elderly - The dimensions of the problem - The impact on the family. Discussion on the implications for counselling Required Reading: Fell, N., (1982) V/F Validation, Cleveland, Ohio Feil Productions, pp. 1 - 27.

Week VI Group Counselling - The role of the leader - Setting up a leader-less group - Group work with the mentally impaired elderly - A.V. presentation: Looking for Yesterday (30 mins.) Required Reading: Hollobon, J., (1986) Older alcoholics: the file builds, The Journal, February 1. *

Week VII Alcohol and Drug Abuse - The dimensions of the problem - Implications for Counselling Elder abuse and neglect - The dimensions of the problem - Implications for Counselling Required Reading: Falk G., and Falk, V.A., (1980) Sexuality and the aged Nursing Outlook, January. 51 - 55 .

Week VIII Sexuality and aging - AV presentation: A rose by any other name Discussion Required Reading: Cohen, S.Z., Gans, B.M., (1978) Can some involve-ments harm you or your parents? in The other generation gap, Chicago. Follett. pp. 141 - 159 *

Week IX • Institutional placement Counselling with the family and the client ?eJol. stress: fact or- fiction? The goals and objectives of chronic vs. acute care as a source of stress Living with loss

Week X Debriefing the Counselling Practicum and Lab. Work Interviews - This will be an interactive session and attendance is a MUST Required Reading: Besdine, R.W., (1983) Decisions to withhold treat-ment from Nursing Home Residents. J. of the American Geriatrics Socy. October *

Week XI Ethics and aging - Considerations for counsellors and caregivers - AV presentation: The Last Right (NFB, 30 mins.) Discussion Required Reading: Hwyck M., Hoyer, W.J., (1982) Death, dying and mourning in Adult development and aging, Belmont, CA, Wadsworth Pub. Co.* 40

BRISTOWE/ P. 4

Week XU Counselling the dying and bereaved - Working with a dying client - Hospice care and the alternatives - Counselling the bereaved family - AV presentation (TBA) Retrospective - A review of the course - Resolution and termination of the client/counsellor relationships

'- These readings are on reserve in the Library - The readings are listed in the week during which they are to be

done in preparation for the following week...

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SiMON FRASER UNIVERSITY MEMORANDUM

Robert Secreta Faculty of Arts Curriculum

.CQJrAt.t.? ................................ NEW COURSES: GERO 402-3 AND

Subject.... GERO 403-3

From . . .C

Sharon • Thom... Head, ollections Management

Office

Date. ....Ju.....1986

The Library is reasonably well able to support

these courses with the existing collections thanks to

a rather generous SSHRC grant. In fact, it appears

that we have serviced them both as Special Topic courses

with no particular difficulties.

Since each of these courses is funded by external

grants to the Gerontology programme, I assume the

Director would entertain a request for funds from the

Library if the need were to arise.

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of All's